CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Decatur County Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $132
Cash Discount Price: $204
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Decatur County Memorial Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.05x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$204

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $204 (162%)

Insurance Median: $132 (105%)

Cash: $204 (162% of Medicare)

Ins. Median: $132 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$30 - $425	24%
Aetna	$34 - $347	27%
Blue Cross Blue Shield	$34 - $242	27%
Caresource Mcr Adv	$34 - $139	27%
Choice Care Mcr Adv	$34 - $132	27%
Choicecare Commercial-All Other Plans	$34 - $424	27%
Encircle-All Plans	$34 - $388	27%
Siho Mcr Adv	$34 - $132	27%
Thcg/Encore-All Plans	$34 - $429	27%
Caresource Just4Me-All Other Plans	$39 - $225	31%
Cigna	$54 - $351	43%
Medicaid / KanCare	$69 - $116	55%
Siho-All Other Plans	$76 - $442	60%
Sagamore Health-All Plans	$87 - $365	69%
Healthsource Indiana-All Plans	$98 - $410	78%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $204.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Decatur County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.